Inspection on 23/10/09 for Hollycroft

This inspection was carried out on 23rd October 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hollycroft 06/09/07

Hollycroft 05/12/06

Hollycroft 06/12/05

Hollycroft 23/06/05

Hollycroft 08/12/04

Hollycroft 05/05/04

Hollycroft 15/05/03

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

Annual service review Name of Service: Hollycroft The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Stephen Marsh Date of this annual service review: 1 6 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 16 Hebers Ghyll Drive Off Grove Road Ilkley West Yorkshire LS29 9QH 01943607698 01943601609 hollycroft@fshc.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Acegold Limited (a wholly owned subsidiary of Four Seasons Health Care Ltd) Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: That the category of MD(E) be used for the service user named on the application signed on 12 May 2004 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Hollycroft Care Home is situated on Hebers Ghyll Drive, about one mile from Ilkley town centre with its variety of shops, restaurants and other amenities. The home a Annual Service Review Page 2 of 7 Number of places (if applicable): Under 65 Over 65 0 0 0 0 3 1 30 3 None former private residence is a large Victorian property, which has had an extension and conservatory added to the existing building in recent years. The home stands within well-maintained grounds and there is limited parking to the front and side of the property. Hollycroft is registered to care for thirty people in both single and double bedrooms located on all three floors of the property. Many of the rooms have en-suite facilities and there is a passenger lift available to the upper floors. All the communal areas including the lounges and dining room are situated on the ground floor of the home, and there is ramped wheelchair access to the building. A current list of fees for the service can be obtained by contacting the home direct. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at the information that we have received, or asked for, since the last key inspection. This included: The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. Surveys returned to us by people using the service and from people with an interest in the service. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. The last key inspection was carried out on the 7 September 2007 and the last annual service review was completed on the 19 August 2008. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgment is that the home is still providing a good service and that they know what further improvements they need to make. The home has recognised quality assurance monitoring systems in place and since the last inspection has made a number of improvements as a result of suggestions from people who use the service and their relatives. This has included providing information on the complaints procedure in every room and introducing a nutritional questionnaire so that the home is fully aware of peoples dietary needs and preferences. The home has produced a statement of purpose and service user guide, which are made available to all people considering using the service. In addition to English information about the service can also be made available in other languages and formats on request. We received survey questionnaires back from six people living at the home and/or their relatives. They told us that they receive the care and support the need and staff always listened to them and acted on what they said. Comments included carers are always helpful and cheerful but never intrusive and the home is clean, well run and in a beautiful setting. However, three people felt that more could be done to provide people with a wider range of social and leisure activities both within the home and the Annual Service Review Page 4 of 7 wider community. The home has a thorough staff recruitment and selection procedure and there is an ongoing training programme in place. This should make sure that people are cared for and supported by staff that are suitable to work in the caring profession. All new staff receive induction training in line with the Skills for Care Common Induction Standards. These are nationally recognised standards designed to help staff get the skills and knowledge they need to care for people. Following induction training there is an expectation that staff will study for a National Vocational Qualification (NVQ) at level two or above depending on the post they hold. Information provided in the selfassessment form shows that currently out of a permanent care staff team of thirteen, six have already achieved a NVQ and further members of staff are studying for the qualification. We received survey questionnaires back from fourteen staff. They told us that they were generally well supported by senior management and they receive the training they need to carry out their roles effectively and in the best interest of people living at the home. Comments included the manager and senior staff are approachable and are always there for you if you have a problem and as a staff team we try hard to provide people with quality care in a pleasant and comfortable environment However, questionnaires returned by four staff clearly showed that thy felt peoples quality of life would be improved by providing more social and leisure activities including more trips out and in-house entertainment. We also received survey questionnaires back from five social and health care professionals who visit the home on a regular basis. They told us that peoples health care needs are properly monitored and staff always seek advice if they have any concerns about an individuals general well-being. Comments included staff are aware peoples personal care needs and are always willing to listen to advice and carry through any protocols as requested and staff respect people, provide good person centred care and work well with other professional agencies. There is a clear complaints procedure in place and questionnaires returned by people living at the home show that they would have no problems approaching the manager if they had any concerns about the standard of care and support provided. Information provided in the self assessment form shows that two complaints have been received by the home in the last 12 months both of which were dealt with appropriately and within the agreed timescales. The home continues to let us know about things that have happened since our last key inspection and they have shown us that they have managed issues well. They work well with us and have shown us that they continue to provide good outcomes for people who use the service. What are we going to do as a result of this annual service review? Since the last annual service review we have changed our inspection plan and will now do a key inspection by 6 September 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 7 Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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